Provider Demographics
NPI:1043048390
Name:ALEX NICULESCU MD PC
Entity type:Organization
Organization Name:ALEX NICULESCU MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:BRYCE
Authorized Official - Last Name:NICULESCU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-320-5864
Mailing Address - Street 1:325 N LARCHMONT BLVD # 145
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-3011
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6200 HOLLYWOOD BLVD APT 2323
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-6294
Practice Address - Country:US
Practice Address - Phone:202-320-5864
Practice Address - Fax:817-259-2723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251G00000XAgenciesHospice Care, Community Based
No251S00000XAgenciesCommunity/Behavioral Health
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No282N00000XHospitalsGeneral Acute Care Hospital
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient